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Table 6 Summarizes the most common delivery approaches that can be used for both in vivo and in vitro CRISPR/Cas system delivery

From: Targeting miRNA by CRISPR/Cas in cancer: advantages and challenges

Delivery methods

Carrying capacity

Toxicity

Biosafety level

Advantages

Challenges

Strategies

References

Adenovirus

38 kb

High

BSL-2

The host genome disruption risk is low

Having trouble transducing certain cell types

High immunogenicity

Targeting immune privilege orangs

[215, 216]

AAV in vitro

4.7 kb

Very low

BSL-1

Animal models with long-term transgenic expression

AAV has not been linked to any diseases in humans

Very low immunogenicity

Limited size capacity

Preexisting immunity to natural serotypes

Exposes constantly for a long time after injection

Hepatotoxicity

Splicing the Cas protein into two vector

Targeting infant and immune privilege organs

Using anti-Cas proteins

[88]

Retrovirus

8 kb

Low

BSL-2+ 

Ability to transform their single-stranded RNA genome into a double stranded DNA molecule

Ability to stably integrate into the target cell genome

–

–

[119]

Lentiviral vector

8 kb

Moderate

BSL-2+ 

Large genetic capacity

Ability to transduce both dividing and non-dividing cells

De novo protein expression may cause immunological responses that result in the removal of transduced cells and the production of antibodies that block the action of released factors

Tacrolimus, cyclophosphamide, and cyclosporine can stop the production and release of cytokines as well as the activation and expansion of T cells

[78]

Baculovirus

38 kb

Very low

BSL-1

Flexible enough to contain many genes or big inserts

By infecting insect cells, recombinant baculoviruses can easily be created and yield high titers

–

–

[217, 218]

Electroporation

15 kb

Very low

BSL-2

Takes less time and cost

Used in in vivo, in vitro, and ex vivo research

Limited experiences in vivo

–

[219, 220]

Microinjection

No size limitation

–

BSL-1

Successful approach to inject macromolecules into embryos

Guaranty of delivery to the targeted cell

Time consuming

Require skill and facilities

Performed generally in vitro

A high level of sophistication and physical skills are needed to reduce cell damage

[87, 221]

Inorganic compound-based nanoparticle

–

Very low

BSL-1

Non immunogenic

Low cytotoxicity

High packaging capacity

Delivery efficiency is low

–

[222]

Polymeric delivery system

–

Very low

BSL-1

Non immunogenic

Transient expression

High packaging capacity

Cytotoxicity

In vivo efficacy is low

–

[222]

  1. AAV adeno-associated virus, Cas CRISPR-associated protein